, Volume 10, Issue 1, pp 88-91
Date: 12 Dec 2013

Shoulder Instability After Total Shoulder Arthroplasty: a Case of Arthroscopic Repair

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Introduction

Arthroscopy has become a mainstay of minimally invasive orthopedic surgery. A host of intra-articular and periarticular lesions can now be safely and effectively addressed using arthroscopic techniques in both native and prosthetic joints. Although not common, arthroscopy after total shoulder arthroplasty (TSA) can be a valuable tool in addressing postoperative issues including instability, infection, component loosening, and pain. We describe a case of atraumatic posterior instability after a TSA, which was addressed arthroscopically, and then review indications for arthroscopic management of the painful total shoulder.

Case Report

A 74-year-old male underwent an uncomplicated anatomic total shoulder arthroplasty for primary osteoarthritis of his right dominant shoulder. At index surgery, there was minimal posterior glenoid wear, which required less than 3 mm of eccentric reaming. After 3 years of uneventful follow-up and excellent function and pain relief, the patient devel